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An 8-year-old with a unilateral droopy eyelid
Digital Journal of Ophthalmology 2022
Volume 28, Number 1
February 4, 2022
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Maxwell G. Su, MD | Baylor Scott & White Hospital, Temple, Texas Jana Waters, MD | Baylor Scott & White Hospital, Temple, Texas Matthew Recko, MD | Baylor Scott & White Hospital, Temple, Texas
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| Differential Diagnosis | The differential diagnosis for ptosis is broad, even in cases of mechanical ptosis. Neoplasms that may cause mechanical ptosis include benign or malignant lacrimal gland tumors, orbital mesenchymal tumors (eg, of neural, muscular, vascular or fibrohistiocytic origin), secondary involvement of tumor from an adjacent site, or metastasis. Other entities that are important to include in a differential diagnosis for pediatric orbital lesions include developmental cysts, such as dermoid cysts, capillary hemangiomas, rhabdomyosarcoma, encephaloceles, mucoceles, and metastasis. The differential diagnosis can be narrowed by distinguishing the lesion’s characteristics and history, mobility, overlying skin findings, location within the orbit, and ancillary testing, including MRI or ultrasonography.
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